A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report

ABSTRACT A 16-year-old female patient previously diagnosed with autosomal recessive polycystic kidney disease (ARPKD) presented with acute bilateral pneumonia, upper gastrointestinal bleeding caused by ruptured esophageal varices, ascites, and lower limb edema. She required intensive care and an endoscopic procedure to treat the gastrointestinal bleeding. The analysis of the differential diagnosis for chronic liver disease indicated she had a spontaneous splenorenal shunt. Ultrasound-guided biopsy revealed the patient had cirrhosis, as characteristically seen in individuals with ARPKD. She had no symptoms at discharge and was referred for review for a combined transplant.

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Main Authors: Scarioti,Vinicius Danieli, Oliveira,Lucia Tabim de, Mattiello,Anye Caroline, Gomes,Nayara dos Santos
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Nefrologia 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200300
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spelling oai:scielo:S0101-280020190002003002019-07-29A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case reportScarioti,Vinicius DanieliOliveira,Lucia Tabim deMattiello,Anye CarolineGomes,Nayara dos Santos Polycystic Kidney, Autosomal Recessive Liver Cirrhosis Adolescent ABSTRACT A 16-year-old female patient previously diagnosed with autosomal recessive polycystic kidney disease (ARPKD) presented with acute bilateral pneumonia, upper gastrointestinal bleeding caused by ruptured esophageal varices, ascites, and lower limb edema. She required intensive care and an endoscopic procedure to treat the gastrointestinal bleeding. The analysis of the differential diagnosis for chronic liver disease indicated she had a spontaneous splenorenal shunt. Ultrasound-guided biopsy revealed the patient had cirrhosis, as characteristically seen in individuals with ARPKD. She had no symptoms at discharge and was referred for review for a combined transplant.info:eu-repo/semantics/openAccessSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology v.41 n.2 20192019-06-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200300en10.1590/2175-8239-jbn-2018-0081
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Scarioti,Vinicius Danieli
Oliveira,Lucia Tabim de
Mattiello,Anye Caroline
Gomes,Nayara dos Santos
spellingShingle Scarioti,Vinicius Danieli
Oliveira,Lucia Tabim de
Mattiello,Anye Caroline
Gomes,Nayara dos Santos
A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
author_facet Scarioti,Vinicius Danieli
Oliveira,Lucia Tabim de
Mattiello,Anye Caroline
Gomes,Nayara dos Santos
author_sort Scarioti,Vinicius Danieli
title A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_short A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_full A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_fullStr A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_full_unstemmed A teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
title_sort teenage patient with autosomal recessive polycystic kidney disease, a splenorenal shunt, and congenital hepatic fibrosis: a case report
description ABSTRACT A 16-year-old female patient previously diagnosed with autosomal recessive polycystic kidney disease (ARPKD) presented with acute bilateral pneumonia, upper gastrointestinal bleeding caused by ruptured esophageal varices, ascites, and lower limb edema. She required intensive care and an endoscopic procedure to treat the gastrointestinal bleeding. The analysis of the differential diagnosis for chronic liver disease indicated she had a spontaneous splenorenal shunt. Ultrasound-guided biopsy revealed the patient had cirrhosis, as characteristically seen in individuals with ARPKD. She had no symptoms at discharge and was referred for review for a combined transplant.
publisher Sociedade Brasileira de Nefrologia
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200300
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